Pay Shared Services Network Membership – Non-Homes Confirm your informationName on card(Required) First Last Program Name(Required) Email(Required) Billing Address(Required) Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code The following three fields are provided for reference only, changing them will not change the amount you owe. If you're being asked to pay an amount you weren't expecting, please call us at 260-745-2501.Selected Tier Tier 1 - Networking Tier 2 - Building Type of provider Center School Ministry Number of enrolled children Tier 1 - Not Applicable 1-30 children 31-60 children 61 or more children Payment informationBase Tier-1 Annual Membership Fee Price: Total Due Today HiddenSelected tierTier 1 - NetworkingTier 2 - BuildingHiddenNumber of enrolled childrenTier 1 - Not Applicable1-3031-6061 or moreCredit Card(Required) Cardholder Name Card Details Consent to pay(Required)By checking the above box you are indicating that you understand that submitting this form will result in a charge in the amount previously listed to the card you provided. This charge is non-refundable. I agree to pay electronicallyCommentsThis field is for validation purposes and should be left unchanged.